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Completed

NCT Number: NCT03569891

HOPE-B: Trial of AMT-061 in Severe or Moderately Severe Hemophilia B Patients

This is an open-label, single-dose, multi-center, multinational trial to demonstrate the efficacy of AMT-061 and to further describe its safety profile.

The study drug is identified as AAV5-hFIXco-Padua (AMT- 061). AMT-061 is a recombinant adeno-associated viral vector of serotype 5 (AAV5) containing the Padua variant of a codon-optimized human FIX complementary deoxyribonucleic acid (cDNA) under the control of a liver-specific promoter. The pharmaceutical form of AMT-061 is a solution for intravenous infusion administered at a dose of 2 x 10^13 gc/kg.

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Key information

Age range

18 year and older

Sex eligibility

Male

Study type

Interventional

Phase

Phase 3

Primary location

Cliniques Universitaires Saint-Luc, Brussels, Belgium

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male
  • Age ≥18 years
  • Subjects with congenital hemophilia B, classified as severe or moderately severe, and are currently on factor IX prophylaxis
  • >150 previous exposure days of treatment with factor IX protein

Exclusion criteria

  • History of factor IX inhibitors
  • Positive factor IX inhibitor test at screening
  • Select screening laboratory value >2 times upper limit of normal
  • Positive human immunodeficiency virus (HIV) test at screening, not controlled with anti-viral therapy
  • Active infection with hepatitis B or C virus at screening
  • History of Hepatitis B or C exposure, currently controlled by antiviral therapy at the end of the lead-in phase
  • Previous gene therapy treatment
  • Receipt of an experimental agent within 60 days prior to screening
  • Current participation or anticipated participation within one year after study drug administration in this trial in any other interventional clinical trial involving drugs or devices

Treatment and study plan

AAV5-hFIXco-Padua

Genetic

Single intravenous infusion of AAV5-hFIXco-Padua (AMT-061)

Other names: AMT-061, etranacogene dezaparvovec

Factor IX (FIX)

Biological

During the lead-in phase, which lasted for a minimum of 26 weeks (i.e., ≥6 months), subjects recorded their use of FIX replacement therapy and bleeding episodes in their dedicated e-diary.

Primary outcomes

  1. Annualized Bleeding Rate (ABR) for All Bleeding Episodes

    Time frame: Lead-in period and months 7-18 post-treatment of AMT-061 (CSL222)

    Adjusted ABR for Lead-in and Post-Treatment period was estimated from a repeated measures generalized estimating equations negative binomial regression model accounting for the paired design of the trial with an offset parameter to account for the differential collection periods. Treatment period was included as a categorical covariate.

Secondary outcomes

  1. Factor IX Activity Levels After AMT-061 (CSL222) Dosing

    Time frame: At Baseline, 6, 12, and 18 months after AMT-061 (CSL222) dosing

    One-stage activated partial thromboplastin time (aPTT) based endogenous FIX activity levels from central laboratory assay.

  2. Annualized Exogenous FIX Consumption

    Time frame: Lead-in period and months 0-6, 7-12, and 13-18 after AMT-061 (CSL222) dosing

    Annualized consumption of FIX replacement therapy.

  3. Adjusted Annualized Infusion Rate of FIX Replacement Therapy

    Time frame: Lead-in period and months 7-18 after AMT-061 (CSL222) dosing

  4. Percent of Participants Who Discontinued FIX Prophylaxis and Remained Free of Routine FIX Prophylaxis After AMT-061 (CSL222) Dosing

    Time frame: Months 7-18 after AMT-061 (CSL222) dosing

  5. Percentage of Participants With Trough FIX Activity <12% of Normal

    Time frame: Lead-in and 3, 12, and 18 months after AMT-061 (CSL222) dosing

  6. ABR for FIX-treated Bleeding Episodes

    Time frame: Lead-in and Months 7-18 after AMT-061 (CSL222) dosing

    Adjusted ABR for Lead-In and Post-Treatment period was estimated from a repeated measures generalized estimating equations negative binomial regression model accounting for the paired design of the trial with an offset parameter to account for the differential collection periods. Treatment period was included as a categorical covariate.

  7. Annualized Rate of Spontaneous Bleeding Episodes

    Time frame: Lead-in period and months 7-18 after AMT-061 (CSL222) dosing

    Adjusted ABR for Lead-In and Post-Treatment period was estimated from a repeated measures generalized estimating equations negative binomial regression model accounting for the paired design of the trial with an offset parameter to account for the differential collection periods. Treatment period was included as a categorical covariate.

  8. Annualized Rate of Joint Bleeding Episodes

    Time frame: Lead-in period and months 7-18 after AMT-061 (CSL222) dosing

    Adjusted ABR for Lead-In and Post-Treatment period was estimated from a repeated measures generalized estimating equations negative binomial regression model accounting for the paired design of the trial with an offset parameter to account for the differential collection periods. Treatment period was included as a categorical covariate.

  9. Mean FIX Activity (%) in Participants With Pre-Existing Neutralizing Antibodies to AAV5 After AMT-061 (CSL222) Dosing

    Time frame: At Baseline, 6, 12, and 18 months after AMT-061 (CSL222) dosing

    One-stage aPTT-based endogenous FIX activity levels from central laboratory assay.

  10. Mean FIX Activity (%) in Participants Without Pre-Existing Neutralizing Antibodies to AAV5 After AMT-061 (CSL222) Dosing

    Time frame: At Baseline, 6, 12 and 18 months after AMT-061 (CSL222) dosing

    One-stage aPTT-based endogenous FIX activity levels from central laboratory assay.

  11. Number of New Target Joints and the Number of New Target Joints Resolved

    Time frame: Up to 18 months after AMT-061 (CSL222) dosing

    A target joint was defined as 3 or more spontaneous bleeding episodes into a single joint within a consecutive 6-month period prior to the dosing visit and which was not resolved by the time of dosing. An identified target joint with ≤2 spontaneous bleeding episodes within a consecutive 12-month period was considered resolved.

  12. Percent of Participants With Zero Bleeding Episodes During the 52 Weeks Following Stable FIX Expression (6 to 18 Months) After AMT-061 (CSL222) Dosing

    Time frame: Lead-in period and months 7-18 post-treatment of AMT-061 (CSL222)

  13. International Physical Activity Questionnaire (iPAQ) Overall Score

    Time frame: Lead-in period and up to 12 months after AMT-061 (CSL222) dosing

    The iPAQ was designed to provide an evaluation of daily physical activities in metabolic equivalent of task (MET) minutes/week. To calculate MET minutes a week multiply the MET value given (walking = 3.3, moderate activity = 4, vigorous activity = 8) by the minutes the activity was carried out and again by the number of days the activity was undertaken. A higher score is considered to be more favorable.

  14. EuroQol-5 Dimensions-5 Levels (EQ-5D-5L) VAS Overall Score

    Time frame: Lead-in period and up to 12 months after AMT-061 (CSL222) dosing

    The EQ-5D-5L descriptive system of health-related QoL states consists of 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression). The EQ-5D-5L VAS overall score ranges from 0 to 100. A higher score is considered to be more favorable.

  15. Number of Participants With Adverse Events

    Time frame: Up to 5 years

  16. Number of Participants With Change (Shift) in Abdominal Ultrasound Results From Normal, Abnormal and Missing to Abnormal Post Treatment

    Time frame: Up to 5 years

    To monitor participants for liver fibrosis and potential occurrences of liver malignancies, abdominal ultrasounds were performed. Number of participants with change in abdominal ultrasound result from normal to abnormal, abnormal to abnormal (no change) and missing to abnormal are reported for this outcome measure.

  17. Number of Participants With Anti-AAV5 Antibodies

    Time frame: At Month 60

    Number of participants who developed antibodies directed against AAV5 (including IgM, IgG and neutralizing antibodies) are reported for this outcome measure. A participant was reported as having an IgG and IgM anti-AAV5 antibody titer greater than or equal to (≥) the LOD if both the screening and confirmatory test results were positive and the titer value was ≥ 50.

  18. Number of Participants With AAV5 Capsid-specific T Cells

    Time frame: At Month 12 after treatment

  19. Number of Participants With Anti-FIX Antibodies

    Time frame: At Month 60

  20. Number of Participants With FIX Inhibitors and Recovery

    Time frame: Up to Month 60

    Number of participants with >LOD level of fix inhibitors up to Month 60 are reported for this outcome measure. Here, LOD = 0.415 Nijmegen-Bethesda Units per milliliter (NBU/mL).

  21. Number of Participants With Increased Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) Levels And Who Used Any Corticosteroids For Treatments

    Time frame: Up to Month 60

    Number of participants with increased AST and ALT levels and who used corticosteroids to treat these elevations are reported for this outcome measure.

  22. Number of Participants With Newly Occurring or Worsening Potentially Clinically Significant Laboratory Values

    Time frame: Up to Month 60

    Only parameters with post-baseline, newly occurring or worsening potentially clinically significant laboratory values are reported for this outcome measure.

    Criteria threshold:

    Hemoglobin: < 80 grams per liter (g/L); Platelet Count: < 50 10^9 cells per liter; AST and ALT: > 2 x Baseline value; Total Bilirubin: > 2 x upper limit of normal (ULN).

  23. Number of Participants With Vector DNA Shedding

    Time frame: Up to 12 months after treatment

    A participant was considered to no longer be shedding vector DNA if they had a negative laboratory result (<LOD) for 3 or more consecutive timepoints.

  24. Number of Participants With Inflammatory Markers

    Time frame: Up to 12 months after treatment

    Inflammatory markers assessed included Interleukin-1beta (IL-1β), Interleukin-2 (IL-2), Interleukin-6 (IL-6), Interferon gamma (IFNγ), and Monocyte chemotactic protein-1 (MCP-1).

    Lower limit of quantification (LLOQ): IFNγ = 2.86 nanograms per milliliter (ng/mL), IL-1β = 0.60 ng/mL, IL-2 = 0.72 ng/mL, IL-6 = 0.94 ng/mL, MCP-1 = 1.68 ng/mL.

    Number of participants with inflammatory markers >= LLOQ are reported for this outcome measure.

  25. Number of Participants With Alpha-fetoprotein (AFP) Levels Above LLOQ at Month 60

    Time frame: At Month 60

    Number of participants with AFP levels >= LLOQ at Month 60 are reported for this outcome measure. LLOQ for AFP = 1.09 IU/mL.

Sponsors and collaborators

Lead sponsor

CSL Behring

Industry

Registry information

Official study title

Phase III, Open-label, Single-dose, Multi-center, Multinational Trial Investigating a Serotype 5 Adeno-associated Viral Vector Containing the Padua Variant of a Codon-optimized Human Factor IX Gene (AAV5-hFIXco-Padua, AMT-061) Administered to Adult Subjects With Severe or Moderately Severe Hemophilia B

Important dates

Study start
2018
Primary completion
2021
Study completion
2025
First posted
Jun 26, 2018
Registry last updated
Mar 27, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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